IndividualActive
Beauty Kolade
NPI 1154139558 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Bronx, NY
Provider details
- NPI number
- 1154139558
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 072341 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
215 E Fordham Rd
Bronx, NY 10458-5068
Phone: (718) 503-9622
Approximate (ZIP-level) locationGet directions
Mailing address
215 E Fordham Rd
Bronx, NY 10458-5068
Registry dates
- Enumerated
- 2024-12-18
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.